Provider Demographics
NPI:1932207180
Name:HSIN, GARY SHANG-CHEN (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:SHANG-CHEN
Last Name:HSIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1007 HIGH SCHOOL WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94041-1910
Mailing Address - Country:US
Mailing Address - Phone:650-493-5000
Mailing Address - Fax:650-849-0260
Practice Address - Street 1:3801 MIRANDA AVE
Practice Address - Street 2:100-4A
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1207
Practice Address - Country:US
Practice Address - Phone:650-493-5000
Practice Address - Fax:650-849-0260
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA217871207Q00000X
CAA96158207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAH89611Medicare UPIN